| NPI | 1518458470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 74947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114508) |
| 207R00000X Internal Medicine (Licence: WI 74947) | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2024-06-17 |